Business Information Consultant– Health System Reimbursement

Elevance Health • Atlanta, GA

2d • Hybrid

About The Position

Business Information Consultant– Health System Reimbursement Location: This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Ideal candidates will be able to report to one of our Pulse Point locations in Atlanta, GA, Richmond, VA, Indianapolis, IN, Wallingford, CT or Mason, OH. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Business Information Consultant– Health System Reimbursement is responsible for serving as an expert in data analysis, reporting and formulating recommendations and providing guidance to other data analysts. How you will make an impact: Establishes, improves, and optimizes the consolidating processes for forecast and month-end results. Consolidates and prepares executive summary reports for various business segments in the SBU for top management decision-making. Analyzes and designs solutions to address varied and highly complex business needs. Collaborates with businesses and technical areas to implement new or enhanced products. Coordinates with external audits as appropriate. Acts as the central contact with internal departments and external auditors. Creates and maintains databases to track business performance. Analyzes data and summarizes performance using summary statistical procedures. Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies. Creates and publishes periodic reports, as well as any necessary ad hoc reports. Makes recommendations based upon data analysis. Provides analytic consultation to other business areas, leadership or external customers.

Requirements

• Requires a BS/BA degree in related field and a minimum of 5 years of experience; or any combination of education and experience which would provide an equivalent background.

Nice To Haves

• Proficient in modeling the financial impacts of changes in reimbursement structures and rates for health systems such as hospitals and physician practices highly preferred.
• Experience benchmarking hospital or physician rates against Medicare reimbursement highly preferred.
• Excel, SQL, and SAS experience highly preferred.
• Strong knowledge of products as well as our internal business models and data systems highly preferred.
• Experience providing leadership in evaluating financial performance of complex organizations highly preferred.
• Excellent leadership, problem solving, organizational, planning, presentation and interpersonal skills highly preferred.
• Ability to work independently and draw up plans to address issues/concerns highly preferred.

Responsibilities

• Establishes, improves, and optimizes the consolidating processes for forecast and month-end results.
• Consolidates and prepares executive summary reports for various business segments in the SBU for top management decision-making.
• Analyzes and designs solutions to address varied and highly complex business needs.
• Collaborates with businesses and technical areas to implement new or enhanced products.
• Coordinates with external audits as appropriate.
• Acts as the central contact with internal departments and external auditors.
• Creates and maintains databases to track business performance.
• Analyzes data and summarizes performance using summary statistical procedures.
• Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies.
• Creates and publishes periodic reports, as well as any necessary ad hoc reports.
• Makes recommendations based upon data analysis.
• Provides analytic consultation to other business areas, leadership or external customers.

Benefits

• We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees